| NPI | 1700518560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 17544) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401418757) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2024-04-08 |